Individual
ROGELIO MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7707 S 45TH AVENUE CIR, OMAHA, NE 68157-3919
(402) 980-3896
Mailing address
7707 S 45TH AVENUE CIR, OMAHA, NE 68157-3919
(402) 980-3896
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
NE
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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